What do people with bile duct cancer die from in the end stages?

Posted by healthmatters @healthmatters, Jan 9 2:29am

I know this may sound like an uncomfortable topic. I have to ask because my father had bile duct cancer and died. His death certificate indicates it was "Complications of Bile Duct Carcinoma."

While he did have bile duct cancer, I don't believe he died from cancer or complications of Bile Duct Carcinoma.

First, he had resectable bile duct cancer, meaning it was only in his bile duct, it was small and had not metastasized (not gone beyond his bile duct to his lymph nodes or other organs). So he was an ideal candidate for surgery.

Secondd, the operation confirmed it had not traveled past the bile duct and the tissues submitted for post op lab testing indicated they got all the tumor.

He was doing well and expected to go home three days post op. The dr said "The expectation is not that he recover, it’s that he should recover fully. Just a couple of days."

He was ambulating and beginning to eat eat soft foods and was going to proceed to solid foods.

He was 82 and had a history of diabetes and a quintuple bypass heart surgery in his 60s. He was of normal weight.

But things changed
He contracted Clostridium difficile while in the hospital. He developed severe dehydration. He was given antibiotics which made the diarrhea worse.

As a result of the dehydration he became disoriented. In his disoriented state, he would pull out is IV. Someone else made the decision to refuse any more treatment for his dehydration and signed a Do Not Resuscitate form.

He died 4 weeks after a successful bile duct cancer resection.

At the time of his death, the only thing being tested was his creatinine levels which were above normal indicating he was still in the state of dehydration as he did not have any kidney problems and should have had a normal creatine level otherwise.

My main question is:

Is Clostridium difficile a complication of Bile Duct Carcinoma?

Interested in more discussions like this? Go to the Liver Cancer Support Group.

I’m 73 in similiar situation with heart disease and had liver resection no spread - just had a bout with uncontrollable diarrhea after 3rd dose on chemo pill capecitabine
Which docs say necessary for microcellular but side affects are really severe for me. No pus or blood just no control for days

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I believe clostridium difficile is a complication of “being in the hospital”. Some people get it in the hospital and make it out alive, others don’t survive it. I have had three older family members who went in for something else, got clostridium difficile, and passed soon after. Hospitals are not clean enough, they are understaffed, and the infection gets carelessly passed around and kills people especially the frailer people. I have heard your story more times than I can remember. Your Dad was successfully treated for his condition and died of something completely different.

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I believe clostridium difficile is a complication of “being in the hospital”. Some people get it in the hospital and make it out alive, others don’t survive it. I have had three older family members who went in for something else, got clostridium difficile, and passed soon after. Hospitals are not clean enough, they are understaffed, and the infection gets carelessly passed around and kills people especially the frailer people. I have heard your story more times than I can remember. Your Dad was successfully treated for his condition and died of something completely different.

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I have to comment on the phrase "carelessly gets passed around". Yes, C diff does happen in a hospital setting especially when the normal GI flora is disrupted. But is is a major Infection Control situation. The infected patient is put in Isolation in a single room. All who enter should glove and gown with good handwashing upon leaving the room. Any good hospital should follow this protocol. And I do realize that sometimes this protocol is not perfect. And C diff is treatable with antibiotics.

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